The study is a descriptive correlational study over three surveys that will examine the improvement of confidence level associated between the implementation of mock code training simulation and the real live event.

Participants will be asked to respond online to a questionnaire or survey launched via Survey Monkey®. Demographic information will be collected first Appendix B. A self-reported confidence level via the Student Satisfaction and self-confidence in learning scale will be utilized and serves as a data collection tool. The scale will be deployed via email as a scale A B and C Appendix C to each study participant and is the same scale. The participants will complete survey A after completion of the initial educational simulation training the survey B will be completed when the participants attended an unannounced simulation activity. Survey C will be completed after the first actively involved Code Blue situation. The survey is a 13-item instrument designed to measure student satisfaction five items with the simulation activity and self-confidence in learning eight items using a five-point scale. Reliability was tested using Cronbach's alpha: satisfaction equals 0.94 self-confidence equals 0.87 Franklin Burns and Lee 2014.

Inclusion Criteria:

All newly graduated nurses and nurse fellows in a residency training program at MCMC Able to read and understand English

Exclusion Criteria:

Clinical staff not affiliated with the residency and fellowship program.

All newly graduated nurses and nurse fellows in a residency training program at MCMC Able to read and understand English

The PI is committed to disseminate research results in a timely fashion. Sharing of results generated by the data analysis during the course of the project will be through presentation at national scientific meetings and/or publication in open access journals. All information obtained will be source de-identified and presented on a large scale and not traceable to any one particular individual.

Data will become available with in 1 to 2 years. All study-related documents will be retained by the CRI until at least three years after study completion or according to local laws, whichever is longer. . Records will also be accessible to MHS staff upon request unless constituting a violation of patient confidentiality.

All study-related documents will be retained by the CRI until at least three years after study completion or according to local laws, whichever is longer. . Records will also be accessible to MHS staff upon request unless constituting a violation of patient confidentiality.